| NPI | 1760630420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209006853) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71002660A) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2025-07-01 |